W-A-Y Eau Claire Application
Thank you for applying to WAY Eau Claire!
E-post *
Today's Date *
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Email address: *
Student's Full Name *
Date of Birth *
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Gender *
Obligatorisk
Parent(s) or Guardian(s) Full Name *
Street Address, City, State, Zip Code *
Phone Number *
PART II: School Information
Grade Level *
Obligatorisk
What District are you currently enrolled? *
Obligatorisk
If other, please list.
List all the districts you have attended *
Obligatorisk
Have you ever been expelled? *
Obligatorisk
Have you ever been suspended? *
Obligatorisk
Are you a student with an Individualized Education Plan (IEP)? *
Obligatorisk
Are you a student with an 504 plan? *
Obligatorisk
Do you have internet access at home? *
Obligatorisk
How did you hear about W.A.Y. Eau Claire? *
Obligatorisk
Why are you interested in WAY Eau Claire? *
If more applications are received than program openings, a waiting list will be created and applicants will be assigned to the program when an opening becomes available. As parent(s) / guardian(s) making application for Schools of Choice under State Aid Act of 1996, P.A. 300, Section 105 and 105C for my / our child, my / our electronic signature on this application signifies my / our understanding and agreement to the Schools of Choice language and guidelines. My electronic signature also holds harmless Eau Claire Public Schools, its employees, and Board of Education members for any decisions made relative to the Schools of Choice language and guidelines. I certify that the information on this application form is accurate to the best of my knowledge. I acknowledge that inaccurate information may jeopardize the applicant's admission eligibility.I give my permission to our child's current (or most recent) school to release all school records for this student applicant. *
I give my permission to our child's current (or most recent) school to release all school records for this student applicant. * *
Obligatorisk
Electronic Signature of Parent(s)/Guardian(s) *
Electronic Signature of Student Applicant *
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